Ch. 26 Urinary System Flashcards

1
Q

Functions of Urinary System(4)⭐️

A

-Excretes waste products
-Kidneys filters blood to remove nitrogenous waste from urine
-Urine consists of excess water, excess ions, metabolic wastes & urea
-Regulation of extracellular fluid pH by secreting H+.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does Urinary System regulate(2)⭐️

A

-Regulation of Red blood cell synthesis by secreting Erythropoietin.
-Regulation of Vitamin D synthesis to help regulate blood Ca2+ levels.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

T/F Erythropoietin is produced in red bone marrow⭐️

A

False, in kidneys

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Overall functions of Urinary System(KUUbU)⭐️

A

-Kidneys: produces urine
-Ureter: transport urine from the
kidney to the urinary bladder(tube)
-Urinary bladder: store urine in the
body
-Urethra: release urine out of the
body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Shape & Location of the kidneys⭐️

A

Retroperitoneal bean-shaped organs, found behind the peritoneum region. Left kidney is higher than right

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why is right kidney lower than left kidney?⭐️

A

Because of the liver, right kidney is pushed down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where do the nitrogenous waste products in urine come from⭐️

A

Protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ToF: Once urine is drained from kidney, the contents of the urine CAN be altered

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Location & shape of Urinary Bladder⭐️

A

hollow muscular organ located in pelvic cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Vitamin D is initiated in the __ of the integumentary system, travels to the liver of the __ system, and becomes activated by the __ in the __ system

A

skin, digestive, kidneys, urinary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

2 structures that ENTER renal hilum⭐️

A

Renal artery
Renal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

2 structures that EXIT renal hilum⭐️

A

Ureter
Renal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What engulfs the renal capsule and provides cushioning(t)⭐️

A

Adipose tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is on the superior aspect of the kidneys⭐️

A

Adrenal(suprarenal) glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What lies deep to the renal capsule

A

Renal cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What lies deep to the renal cortex

A

Renal medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the most basic path of urine (4)

A

Kidneys, ureter, Urinary bladder, then urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is formed by the merging of the major calyces?

A

Renal pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

2 Calyces (Minor & Major)

A

• Minor calyx: Papillae extend into funnel of
minor calyx.
• Major calyx: Converge to form renal pelvis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the area between renal pyramids called (extends into medulla but made from cortical tissue)

A

Renal columns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the most basic functional unit of the kidney⭐️

A

Nephron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the first capillary network mentioned in class located in the renal corpuscle⭐️

A

Glomerulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which cells have several foot processes that wrap around the glomerulus?⭐️

A

Podocyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the outermost structure of the renal corpuscle called?😭

A

Bowman’s Capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Which of the tubular structures continues right after the glomerulus?⭐️

A

proximal convoluted tubule (PCT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Blood vessel that drains blood INTO glomerulus(aa)⭐️

A

Afferent arteriole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Blood vessel that drains glomerulus⭐️

A

Efferent Arteriole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Space between glomerulus and Bowman’s capsule⭐️

A

Bowman’s space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

1st capillary network⭐️

A

Glomerulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are the 4 parts of the Loop of Henle from proximal to distal⭐️

A

thick descending, ⬇️
thin descending, ⬇️
thin ascending, ⬆️
thick ascending⬆️

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Which tubule continues after the Loop of Henle⭐️

A

distal convoluted tubule (DCT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What tubule is located between the DCT and minor calyx⭐️

A

Collecting duct (CD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What is the more complex path of urine produced by the nephron (11)

A

renal corpuscle (glomerulus), proximal convoluted tubule, Loop of Henle, distal convoluted tubule, collecting duct, minor calyx, major calyx, renal pelvis, ureters, urinary bladder, and urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

In the kidney, where is the renal corpuscle located

A

Cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Where is the Loop of Henle (all 4 parts) located

A

Medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Where is the PCT & DCT located

A

Cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Where is the CD located

A

Medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Once the kidneys start filtration, the fluid becomes and stays filtrate until it becomes urine where?

A

after exiting the collecting duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Which blood vessel sends blood into the glomerulus

A

Afferent Arterioles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Which blood vessel has blood exiting the glomerulus

A

Efferent Arterioles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What is the second capillary network mentioned in class (formed from the efferent arterioles wrapping around the whole nephron)?

A

peritubular capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

T/F Afferent arterioles will give rise to the peritubular capillaries directly

A

False, efferent will

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What do afferent arterioles give rise to directly

A

Glomerulus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Which nephrons have shorter Loops of Henle

A

Cortical nephrons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Which nephrons have longer Loops of Henle that extend deep into the medulla

A

Juxtamedullary nephrons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What is the first process of urine formation that starts in the renal corpuscle⭐️

A

Filtration @ renal corpuscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What is the second process of urine formation that follows the tubular network but moves back into the peritubular capillaries⭐️

A

Tubular reabsorption

48
Q

What is the third process of urine formation that follows the peritubular capillaries and moves into the tubular network

A

Tubular secretion

49
Q

What are the cells around afferent arterioles?

A

juxtaglomerular cells

50
Q

The 2 renal tubular structures that do not occur in renal corpuscle?⭐️

A

Tubular secretion and tubular reabsorption

51
Q

What is the function of juxtaglomerular cells⭐️

A

Produces renin

52
Q

What is the funtion of mascula densa cells?(o)⭐️

A

Detects osmolality (concentration of solutes in a solution)
• Increase in osmolality: Na+ increase; volume decrease
• Decrease in osmolality: Na+ decrease; volume increase

53
Q

Which cells are found in the DCT⭐️

A

Macula densa cells

54
Q

What ion is the most common solute found in the fluid portion at the DCT?

A

Na / Sodium

55
Q

An increase in osmolality is associated with what⭐️

A

dehydration and decreased blood volume and blood pressure

56
Q

A decrease in osmolality is associated with what(water)

A

Over hydration

57
Q

T/F Macula densa cells detect decreased levels of BP and BV, and juxtaglomerular cells solve that problem⭐️

A

True

58
Q

What is fluid formed as a result of filtration called

A

Filtrate

59
Q

What are the window-like openings in the glomerular capillary endothelial cells that form the filtration membrane

A

Femestrae

60
Q

What is the path of blood flow into the kidneys coming from the abdominal aorta (RaSaIaAaIaAaGEaPcVr)⭐️

A

renal artery, segmental artery, interlobar artery, arcuate artery, interlobular artery, afferent arteriole, glomerulus, efferent arteriole, peritubular capillaries, and vasa recta

61
Q

What is another name for interlobular artery(CRA)

A

cortical radiate artery

62
Q

What is the path of blood flow out of the kidneys starting from the vasa recta (Vr,Iv,Av,Iv,Sv,Rv,Ivc)

A

vasa recta, interlobular vein, arcuate vein, interlobar vein, segmental vein, renal vein, and inferior vena cava

63
Q

T/F Vasa recta and peritubular capillaries can feed into the interlobular vein⭐️

A

True

64
Q

Name the 3 pressures that are needed for filtration to occur from highest to lowest pressure (Gcp,Bcop,Chp)

A

glomerular capillary pressure, blood colloid osmotic pressure, and capsule hydrostatic pressure

65
Q

For blood colloid osmotic pressure, the pressure is caused by proteins in the blood. What proteins are these?⭐️

A

Albumins

66
Q

How do you find filtration pressure (mm Hg)⭐️

A

GCP - CHP - BCOP

67
Q

What type of pressure is GCP?

A

Pushing pressure

68
Q

What type of pressure is BCOP?

A

Pulling pressure

69
Q

How do you find the renal blood flow rate?

A

cardiac output x renal fraction

70
Q

How do you find cardiac output

A

heartrate x stroke volume

71
Q

What is the average renal fraction

A

21%

72
Q

How do you find the glomerular filtration rate

A

renal plasma flow rate x filtration fraction

73
Q

What is the average filtration fraction

A

19%

74
Q

When the afferent arterioles are vasoconstricted, the blood flow into the glomerulus __, and the glomerular filtration rate __

A

decreases, decreases

75
Q

When the afferent arterioles are vasodilated, the blood flow into the glomerulus __, and the glomerular filtration rate __

A

increases, increases

76
Q

When the efferent arterioles are vasoconstricted, the blood flow into the glomerulus __, and the glomerular filtration rate __

A

decreases, increases

77
Q

When the efferent arterioles are vasodilated, the blood flow into the glomerulus __, and the glomerular filtration rate __

A

increases, decreases

78
Q

What is the workhorse of the nephron, and is the site of the greatest reabsorption

A

PCT

79
Q

99% of __ is reabsorbed in the PCT

A

Glucose

80
Q

When glucose persistently shows up in urine what issue arises

A

diabetes mellitus

81
Q

The Loop of Henle is what type of mechanism

A

Countercurrent mechanism

82
Q

Which part of the Loop of Henle is impermeable to water

A

Ascending LoH

83
Q

Which areas can reabsorb water when there are no hormones present(2)

A

PCT and Descending Loop of Henle

84
Q

Which areas can reabsorb water even when there are hormones present(4)

A

PCT, Loop of Henle, late DCT, and CD

85
Q

Which 2 hormones allow the late DCT and CD to reabsorb water

A

ADH and aldosterone

86
Q

What hormone is produced when atrial stretching occurs (BV/BP are high) (ANH)

A

atrial natriuretic hormone

87
Q

ANH inhibits __ so that atrial stretching and BV/BP decrease

A

Angiotensin II

88
Q

ANH inhibits __ and ADH which results in no water reabsorption in the late DCT and CD

A

Aldosterone

89
Q

T/F ADH and aldosterone can reabsorb free water⭐️

A

false, aldosterone must reabsorb sodium first before it can reabsorb water

90
Q

The urinary bladder has transitional epithelium that goes from stratified __ when empty to stratified __ when full

A

Cuboidal, squamous

91
Q

What makes up the trigone of the urinary bladder(3)

A

2 ureter openings
Urethral opening

92
Q

What 3 portions from proximal to distal make up the male urethra

A

prostatic urethra, (proximal)
membranous urethra,
penile (spongy) urethra (distal)

93
Q

Patient being stabilized…
ADH high or low?
What urine?

A

High
Concentrated

94
Q

What is another name for the urination process

A

micturition reflex

95
Q

T/F The LoH has high osmolality in the descending portion and low osmolality in the ascending portion

A

Trye

96
Q

Intracellular fluid (ICF) is found where

A

Cytoplasm of cell

97
Q

What fluid is found outside the cell in places like tissues, blood vessels, and synovial joints

A

extracellular fluid (ECF)

98
Q

T/F There is more ECF than ICF in the body

A

False, ICF is double more

99
Q

2 sphincters and muscle type

A

Internal Urinary S - Smooth
External Urinary S - skeletal

100
Q

ToF: FEMALE urethra is for urinary purposes only

A

True

101
Q

Diff: MALE urethra used for both Urinary and reproduction

A

True

102
Q

Diff: In females, urethra is one portion

A

True

103
Q

In the urinary system, Vitamin D is activated in…

A

Kidneys

104
Q

The renal artery gives rise to the…(artery)

A

Segmental artery

105
Q

T/F: The afferent arteriole gave rise to the peritubular capillaries.

A

False

106
Q

The foot processes of these are found wrapped around the glomerulus.

A

Podocytes

107
Q

The macula densa cells are located here

A

DCT

108
Q

T/F: As the afferent arteriole vasoconstricts, the blood flow increases to the glomerulus

A

False

109
Q

Reabsorption of glucose occurs here in the nephron.

A

PCT

110
Q

Aldosterone have an effect on this part of the nephron.

A

Collecting duct

111
Q

This type of epithelium is found in the urinary bladder

A

Transitional epithelium

112
Q

Aldosterone is produced here

A

Adrenal gland

113
Q

The penile is located at

A

Corpus spongiosum

114
Q

The glans penis is part of this

A

Corpus spongiosum

115
Q

The ejaculatory gland is located here

A

Prostate gland

116
Q

Sperm cells are produced here

A

Seminiferous tubule